We are looking for a detail-oriented Data Entry Clerk to support utilization management operations for a healthcare organization in Westminster, California. This Long-term Contract position focuses on maintaining accurate records, coordinating authorization-related information, and helping ensure requests move through review within required timelines. The ideal candidate is organized, comfortable handling high-volume administrative work, and confident communicating with providers and members to obtain and verify needed information.

Responsibilities:

• Enter, update, and maintain authorization information in internal tracking systems with a high degree of accuracy.
• Communicate by phone with healthcare providers and members to share status updates and obtain missing documentation needed for review.
• Track request due dates and follow established procedures to help meet turnaround time and compliance expectations.
• Upload, sort, and verify clinical and administrative records so files remain complete and easy to access.
• Assist in preparing and processing approval and denial correspondence tied to utilization review activities.
• Maintain daily logs, status reports, and other administrative records that support departmental workflow visibility.
• Route urgent, sensitive, or clinically complex matters to licensed utilization management staff for further review.
• Help organize records and supporting materials for audits, reporting needs, and regulatory submissions.
• Participate in team meetings, training sessions, and other assigned administrative support activities.